Mwana wako ane matambudziko ekuita weti nguva nenguva here? Izvi zvinogona kunge zviri Vesicoureteral Reflux (VUR)!

Amai nababa, mwana wenyu mudiki anowanzobatwa nezvirwere zvemudumbu (UTIs) here? Kana kuti anonetseka here nekuita weti , kana kuti ane fivha? Dzimwe nguva chikonzero cheizvi chingave chirwere chatisingataure zvakawanda nezvacho, asi zvakakosha kuziva nezvacho. Nhasi, ngatitaurei nezvechirwere ichi chinonzi Vesicoureteral Reflux , kana kuti VUR muchidimbu. Musazvidya mwoyo, ichi chinhu chinogona kurapwa zvachose muzviitiko zvakawanda kana chikanzwisiswa zvakanaka uye chikarapwa nenguva.

Chii chinonzi Vesicoureteral Reflux (VUR)? Ngatizvinzwisise zviri nyore.

Zvichitaurwa zviri nyore, VUR zvinoreva kuti weti yedu, kureva weti, inoyerera nenzira isiriyo. Funga nezvazvo nenzira iyi, sezvazvinofanira. Sisitimu yemuviri wedu inoshanda semugwagwa unotenderera divi rimwe chete.

Heino maitiro azvinoita:

• Itsvo dzedu dzinoburitsa weti. Kazhinji tine itsvo mbiri.
• Zvadaro, weti iyi inofamba ichidzika nemachubhu maviri matete anonzi ureters uye inoungana mudundira . Dundira iri rakaita sebharumu rinokura kuti riunganidze weti .
• Patinoita weti , weti inounganidzwa mudundira inobva mumuviri ichienda kune imwe chubhu inonzi urethra .

Wanzwisisa here izvozvi? Izvi zvakafanana nemvura inobva mutangi remvura ichipinda nemupombi yobuda mupombi. Chinhu chakakosha ndechekuti maureter, paanobatana nedundira, ashande sevharuvhu ine nzira imwe chete . Kureva kuti, kana weti yasvika kudundira, haitenderwi kudzokera kumusoro, kureva kuti, ichitevedza maureter ichienda kuitsvo.

Zvisinei, kune munhu ane VUR, pane dambudziko diki nemaitiro aya. Nekuti vharuvhu iyoyo haishande zvakanaka, weti iri mudundira inodzokera kumusoro, ichipinda muureter imwe kana ese ari maviri, uye dzimwe nguva kusvika kuitsvo. Izvi ndizvo zvatinodaidza kuti reflux .

Dambudziko iri rinowanzoitika kuvacheche vachangoberekwa, vacheche vane mwedzi mishoma, uye vana vari kusvika pamakore maviri . Zvisinei, rinogonawo kuitika kuvana vakuru uye, kashoma, kuvanhu vakuru.

Chinhu chakakosha ndechekuti kana weti ikadzokera kumashure seizvi, mabhakitiriya ari mudundira anogona kufamba achienda kuitsvo okonzera hutachiona hweitsvo . Kana hutachiona hweitsvo uhu hukasarapwa zvakanaka, hunogona kukonzera kukuvara kweitsvo zvachose. Ndosaka zvichikosha kuziva nezveVUR.

Asi musazvidya moyo. Kune mishonga yeVUR. Kurapwa kunoenderana nezera remwana, rudzi rwezviratidzo, uye kuoma kweVUR. Dzimwe nyaya dzisina kunyanya kuoma hadzidi kurapwa uye dzinozopora dzoga sezvo mwana achikura. Asi vamwe vana vangada mishonga kana kuvhiyiwa kuti vamise kukuvara kweitsvo dzavo.

Kune mhando dzeVUR here?

Ehe, kune mhando mbiri huru dzeVUR.

• Primary VUR: Iyi ndiyo mhando inonyanya kuwanikwa. Kazhinji, inokanganisa divi rimwe chete reurethra neitsvo (izvi zvinonzi unilateral reflux ). Muprimary VUR, pane kakukanganisa kadiki panzvimbo iyo urethra inosangana nedundira pakuzvarwa. Vharuvhu yatataura nezvayo haivhari zvakanaka, saka weti inoyerera ichidzokera kumashure.
• Secondary VUR: Izvi zvinokonzerwa nekuvharika kweimwe nzvimbo muhurongwa hweweti. Semuenzaniso, kuvharika kweurethra kunogona kukonzera kuti weti iyerere kumashure, zvichikonzera kumanikidzwa mukati medundira kuti riungane. Kana, zvinogona kukonzerwa nedambudziko retsinga dziri mudundira rinoita kuti isakwanise kuvharika zvakanaka uye zvichiita kuti weti iyerere kumashure. Vana vane secondary VUR vanowanzo kanganiswa neureter neitsvo (izvi zvinonzi bilateral reflux ).

Kuoma (danho) reVUR kunoonekwa sei? (Magiredhi eVUR)

Kune matanho mashanu, kana kuti mamakisi, ekuti VUR yakanyanya sei. Giredhi 1 ndiro risinganyanyi kuoma, uye Giredhi 5 ndiro rakanyanya kuoma. Giredhi iri rinosarudza:

• Kuti weti inoyerera kusvika papi ichikwira nekudzika pasi penzira yeweti.
• Kuti urethra yakafara kana kuti yakazvimba zvakadii.

Heano matanho mashanu aya:

• Giredhi 1: Weti inoyerera ichidzokera kumashure ichipinda muurethra, asi urethra ine upamhi hwakajairika.
• Giredhi 2: Weti inoyerera ichidzokera shure ichitevedza ureter kusvika yasvika pachikamu chekutanga cheitsvo panoungana weti (itsvo pelvis) . Zvisinei, ureter kana chikamu ichocho cheitsvo hazvina kukura.
• Giredhi 3: Matumbu emudumbu, chiuno cheitsvo, uye macalyces (nzvimbo inotanga kuungana weti mudundira) zvinokura zvishoma nekuda kwekuyerera kweweti kumashure.
• Giredhi rechina: Mawereta akakombama uye akakura zvishoma nekuti weti yakawanda iri kuyerera ichidzokera kumashure. Zvikamu izvozvo zveitsvo zvakakurawo zvishoma.
• Giredhi 5: Matumbu emudumbu akanyanya kuremara uye akakura nekuda kwekuyerera kweweti yakawandisa kumashure. Mapaipi eitsvo akakurawo zvikuru.

VUR yakajairika zvakadii?

Kana ukatarisa pasi rose,Zvinofungidzirwa kuti pakati pe1% ne3% yevana vane VUR. Uyezve, 75% chete yevana vane VUR vasikana .

Ndezvipi zviratidzo zveVUR?

Kazhinji, mwana ane VUR haazoratidzi zviratidzo. Zvisinei, kana zviratidzo zvikaitika, chiratidzo chinowanzoonekwa chirwere chemudumbu (UTI) . Mimwe mishumo inoratidza kuti pakati pe30% ne50% yevana vanowana UTI vanogona kunge vaine VUR!

Kana mwana aine UTI, tarisa zviratidzo zvakaita seizvi:

• Kuda kuita weti nguva nenguva.
• Kupisa uye kurwadziwa pakuita weti .
• Kurwadziwa kwepahuro kunorwadza mudumbu kana pasi pemusana (parutivi pedumbu).
• Madonhwe mashoma eweti chete.
• Ruvara rweweti rwachinja, rwava ruvara rwebrown rwakasviba uye rwune hwema hwakaipa.
• Muviri unopisa uye unopisa.

Zvisinei, zvinogona kuoma kuziva kana mwana anoyamwiswa ane UTI. Anogona kungochema zvakanyanya, kusanwa doro, kana kuita seasingafariri.

VUR inorwadza here?

Kwete, VUR pachayo hairwadzi. Zvisinei, kana VUR ikakonzera UTI, unogona kurwadziwa paunenge uchiita weti , kurwadziwa kweitsvo/dumbu.

Chii chinokonzera VUR?

Mhando mbiri dzeVUR dzatakambokurukura, VUR yekutanga neVUR yechipiri, dzine zvikonzero zvakasiyana.

• VUR Yekutanga: Izvi zvinokonzerwa nekusakwana kwemuviri muvharuvhu iri pakati peureter nedundira. Haivhari zvakanaka, zvichiita kuti weti idzokere kumashure ichipinda muitsvo. Mashoko akanaka ndeekuti mwana paanokura, nhengo dzemuviri padzinokura, vharuvhu iyi inotanga kuvhara zvakanaka, uye VUR yekutanga inogona kuva nani yoga.
• Secondary VUR: Chikonzero chikuru cheizvi kuvharika kana kutetepa kwemutsipa wedura kana urethra. Dambudziko iri rinoita kuti weti ienderere kumashure ichikwira nenzira yeweti kwete kubuda. Kana kuti, tsinga dzinodzora dundira dzinogona kunge dzisiri kushanda zvakanaka. Dambudziko iri rinoita kuti dundira rizvimbike uye rizorore, zvichidzivirira weti kuti isaburitswe. Musecondary VUR, bilateral VUR inowanzoonekwa.

Ndezvipi zvinhu zvinokonzera njodzi yechirwere ichi?

Kune zvimwe zvinhu zvinogona kukanganisa kukura kweVUR:

• Majini: VUR inowanzo itika mumhuri. Kana mwana mumwe chete mumhuri aine VUR, pane mukana mukuru zvishoma wekuti mukoma kana hanzvadzi iwanewo VUR. Kana mumwe wevabereki vaiva neVUR vachiri vana, pane mukana wekuti mwana awanewo VUR.
• Matambudziko ekuzvarwa:Vana vane matambudziko ekuzvarwa nawo muitsvo kana weti vane mukana mukuru wekuva neVUR.
• Kusashanda zvakanaka kwedundira neura (BBD): Vana vane BBD vanonetseka nekuita weti nekubvisa tsvina zvakanaka. Izvi zvinowanzokonzerwa nematambudziko emhasuru kana tsinga.
• Rudzi uye bonde: Vana vachena, vechikadzi vanonzi vane mukana wekuwana VUR (asi zvinogona kuitika kumwana chero upi zvake).

Ndezvipi zvinetso zvinogona kuitika nekuda kweVUR?

Vana vane VUR vanogona kuva nematambudziko akadai se:

• Utachiona hwemudumbu (UTIs): Utachiona hwedundira, kusanganisira hutachiona hweitsvo.
• Matambudziko edundira: kutadza kudzora weti (kusazvidzora weti), kunyorova pamubhedha, kutadza kubvisa weti zvachose ( kuramba urini).
• Kukwira kweropa.
• Mavanga eitsvo, kukuvara kweitsvo (semuenzaniso, nephrotic syndrome), uye kashoma, kutadza kushanda kweitsvo kwenguva refu.

Asi yeukai, vana vazhinji vane VUR vanopora pasina matambudziko kwenguva refu. Saka zvakakosha kuti musavhunduke uye mutevere mirairo yachiremba wenyu.

VUR inokura sei muvanhu vakuru? (Izvi hazvisi zvevana vadiki chete)

Kunyangwe zvisingawanzoitiki, vanhu vakuru vanogonawo kuva neVUR. Zvikonzero zvinogona kunge zviri:

• Kukura kweprostate gland (`Benign prostate hyperplasia` - yevarume)
• Kusashanda zvakanaka kwetsinga nekuda kwekukuvara kwetsinga (`Neurogenic bladder`)
• Kuvhiyiwa kwakaitwa pama ureters.

Ko VUR inogona kukonzera matombo muitsvo here?

Ehe, VUR inogona kukonzera matombo eitsvo. Inogonawo kukonzera matombo kuumbwa mune dzimwe nzvimbo dzemudumbu, dzakadai sedundira.

Ko VUR inoisa hupenyu panjodzi here?

VUR pachayo haina njodzi kuhupenyu. Zvisinei, VUR inogona kukonzera hutachiona hwemunzira weti (UTIs) kakawanda, izvo zvinogona kukonzera kukuvara kweitsvo, uye nekufamba kwenguva, chirwere cheitsvo chinogona kukonzera BP yakakwira (renal hypertension) uye chirwere cheitsvo. Kana ukava nechirwere cheitsvo chekupedzisira, ungangoda dialysis kana kuisirwa itsvo. Ndosaka uchifanira kunetseka nezveVUR.

Unoziva sei kana uine VUR? (Kuongororwa)

Kana mwana wenyu achifungidzirwa kuti ane VUR, chiremba wevana achakutumirai kuna chiremba wezveuropi hwevana kana chiremba wezveuropi hwevana .

Kuti uzive nemazvo kana uine VUR, unogona kuita bvunzo dzinotevera:

• Kubvisa Cystourethrogram (VCUG): Iyi bvunzo yeX-ray. Chubhu diki, yakatetepa (catheter) inoiswa muurethra yemwana uye dhayi yakakosha inodururwa mudundira. Zvadaro, maX-ray anotorwa mwana achiri kuita weti , asati aita weti uye mushure mekuita weti . MaX-ray aya anoratidza kana weti ichidzoka kubva mudundira ichipinda muurethra. Izvi zvinogona kuitwa muhofisi yachiremba, kukiriniki yekunze, kana kuchipatara. Anesthesia haidiwi, asi vamwe vana vanogona kupihwa mushonga wekuvabatsira kuzorora.
• Ultrasound scan: Iyi bvunzo isingarwadzi uye yakachengeteka. Inoshandisa mafungu eruzha kutora mifananidzo yehurongwa hwese hweweti hwemwana wako (kusanganisira itsvo nedundira). Izvi zvinoitwawo muhofisi yachiremba, muchipatara chekunze, kana kuchipatara. Kana uchida kudzivirira kusangana neX-rays kana zvinhu zvine radioactive, ungangoda kuitwa ultrasound usati waenda kuVCUG. Yeuka, dzimwe nguva ultrasound scan panguva yekuzvitakura inogona kuratidza zviratidzo zvekuti mwana wako angave aine VUR (senge itsvo dzakazvimba).
• Dimercaptosuccinic acid (DMSA) scan: Izvi zvinoongorora kana itsvo dzemwana dzakakuvadzwa neUTI.
• Radionuclide cystogram (RNC): Iyi imhando yekuongorora kwenyukireya. Chinhu chidiki chinoiswa mudundira remwana. Zvadaro, kana mwana aita weti kana dundira risina chinhu, scanner inotsvaga zvinhu zvine radioactive. Izvi zvinoitwawo nenyanzvi yakadzidziswa, uye radiologist inoongorora mifananidzo. Izvi hazvidiwo anesthesia, asi vamwe vana vanogona kupihwa mushonga wekuvabatsira kuzorora. RNC inonyanya kunzwa kupfuura VCUG, asi haina ruzivo rwakawanda nezvemaumbirwo edundira.

Ndezvipi zvimwe zviedzo zvinofanira kuitwa kuvana vane VUR?

Kana mwana wako akaonekwa kuti ane VUR, bvunzo idzi dzichaitwa nguva nenguva:

• Kuongorora BP: Vana vane matambudziko eitsvo vanowanzova neBP yakakwira.
• Kuongororwa kweropa: Kuwanda kwemapuroteni kana creatinine muropa chiratidzo chekukuvara kweitsvo.
• Kuongororwa kweweti uye kuumbwa kwayo: Mapuroteni ari muweti chiratidzo chekukuvadzwa kweitsvo. Mabhakitiriya ari muweti chiratidzo chehutachiona.

Chiremba wemwana wenyu achaongororawo kuti haana dambudziko rematumbu nedumbu here . Zviratidzo zveBBD zvinosanganisira:

• Kuda kuita weti nguva nenguva.
• Handiwanzoenda kunorasa weti , uye kwave nenguva yakareba.
• Kunyorova masikati.
• Kuzvimba - kuita matumbu kasingasviki katatu pasvondo.
• Kusakwanisa kudzora tsvina (Fecal incontinence).

Vana vane zviratidzo zveBBD pamwe chete neVUR vari panjodzi yakakura yekukuvara kweitsvo nekuda kwehutachiona.

VUR inorapwa sei?

Kurapa VUR kunoda rubatsiro rwachiremba. Kurapa kunoenderana nezera remwana wako, zviratidzo, rudzi rweVUR, uye kuoma kwayo. Sarudzo dzekurapa dzinosanganisira mishonga inorwisa mabhakitiriya nemimwe mishonga, jekiseni remushonga unonyunguduka, kuisirwa catheter kwenguva pfupi, uye kuvhiyiwa. Iwe, chiremba wevana vako, nevamwe nyanzvi muchakurukura nzira idzi dzekurapa uye mosarudza imwe yakanakira mwana wenyu.

Kurapwa kweVur Yekutanga

VUR yekutanga inogona kuzvigadzirisa yoga sezvo mwana achikura (kazhinji ane makore mashanu). Dzimwe nguva, nzira yekuti "mira uone" inobudirira. Asi dzimwe nguva, kuvhiyiwa kana mishonga zvinodiwa.

Mishonga

VUR yekutanga inowanzova nani mwana wako paanokura uye nzira yake yekuzvitakura ichiwedzera kukura. Kusvika panguva iyoyo, chiremba wako achakupa mushonga wekudzivirira UTI kana kuti wekurapa kana ikaitika.

Kune maonero akasiyana-siyana pamusoro pekupa mishonga inorwisa mabhakitiriya kwenguva refu kudzivirira UTIs. Izvi zvinodaro nekuti kushandiswa kwemishonga inorwisa mabhakitiriya kwenguva refu kunogona kukonzera kusawirirana nemishonga inorwisa mabhakitiriya mumabhakitiriya. American Academy of Pediatrics (AAP) inokurudzira kuti mishonga inorwisa mabhakitiriya idzivirire mabhakitiriya inopiwa vana vane VUR yepamusoro chete (vachimirira kuti VUR yavo ikure kubva mukukwegura kwavo).

Kuvhiya

Vanachiremba vanoshandisa nzira dzakasiyana-siyana dzekuvhiya kurapa chirwere chepfungwa chepakutanga. Chinangwa chikuru chekuvhiya ndechekugadzirisa vharuvhu ine nzira imwe chete (vharuvhu ine nzira imwe chete) iri pakati pedundira neurethra, kudzivirira weti kuti isayerere kumashure.

• Kuisazve ureteral implantation: Iyi ndiyo "nzira yakanaka" yekuvhiya yeVUR. Chinangwa ndechekuisa ureteral panzvimbo yayo kuitira kuti ipfuure nemugero wehurefu hwakakodzera kuburikidza nemadziro edundira, zvichigadzira vharuvhu inodzivirira weti kuti isayerere kumashure. Chiremba wemwana wako anogona kuita kuvhiya uku kungave sekuvhiya kwakavhurika (kuburikidza nekucheka mudumbu remwana wako) kana laparoscopically (kuburikidza nekuchekwa kudiki kushoma). Chiremba wako achatsanangura zvakanakira nekuipira kwenzira imwe neimwe, pamwe nemigumisiro inogona kuitika. Kuvhiya uku kunoda anesthesia , uye ungangoda kugara muchipatara kwemazuva mashoma.

• Mushonga wekubaya jekiseni: Imwe nzira yekurapa VUR yekutanga ndeyeUchishandisa mvura yakaita sejeli inonzi hyaluronic acid/dextranomer (Deflux®) . Chiremba wemwana wako achaisa huwandu hushoma hweiyi mumadziro edundira remwana wako, pedyo nepanopinda urethra. Jekiseni iri rinoita kuti nyama yacho izvimbe, zvichiita sevharuvhu uye zvichiita kuti zviomere kuti weti idzokere kumusoro. Izvi zvinoitwa pakurapwa kunze (mwana wako anogona kuenda kumba zuva rimwe chete), asi zvinodawo anesthesia. Chiremba wako achataura newe nezvezvakanaka nezvakaipira zvekurapa uku.

Kurapwa kweVur yechipiri

Secondary VUR inorapwa nekubvisa kuvharika kana kugadzirisa nzira inobuda nayo dundira. Kurapa kunogona kusanganisira:

• Kuvhiyiwa kubvisa chipingamupinyi kana kugadzirisa dundira kana urethra isina chimiro chakajairwa.
• Kupa mishonga inorwisa utachiona kudzivirira kana kurapa UTI.
• Kuisa catheter mukati menguva: Izvi zvinosanganisira kuisa chubhu diki mudundira kuburikidza neurethra kuti dundira ribude pachena.
• Mushonga wetsandanyama dzedundira.

Chii chinoitika kana mwana wangu aine VUR?

Kana mwana wako akaonekwa kuti ane VUR, shanda pamwe chete nechikwata chako chekurapa kuti mugadzire hurongwa hwekurapa hunoshanda kumhuri yako. Kurapa chirwere chakadai seVUR kunogona kukuomera iwe nevamwe vanokuchengeta. Taura nechikwata chekurapa chemwana wako nezvezvinokunetsa nemibvunzo yako. Mashoko akanaka ndeekuti VUR inonyanya kurapwa, uye kuvana vazhinji, haina migumisiro yenguva refu.

VUR inogara kwenguva yakareba sei? / VUR inoderera here nekukura?

Mwana wako anogona kunge aine VUR kwenguva isingasviki gore, asi hapana nguva chaiyo yakatarwa, sezvo zvichisiyana zvichienderana nemamiriro emwana. Dzimwe nguva chiremba wako anokurudzira nzira yekumirira "yakangwarira", kana kuvhiyiwa kana bvunzo dzichiratidza kukuvara kwakanyanya kweVUR kana itsvo.

Ehe, mwana wako anogona kukura kubva muVUR, kunyanya kana VUR yekutanga iri giredhi rakaderera (giredhi rekutanga kana rechipiri). Vana vane chirwere ichi vanowanzo pora vega mukati memakore mashoma.

Mwana ane VUR anogona kuenda kuchikoro here?

Zvinoenderana nekuoma kwezviratidzo zvemwana wako. Yeukai kuti VUR pachayo haisi dambudziko kumwana wako zuva nezuva, asi inogona kuva dambudziko kana UTI ikatanga. Mwana wako anogona kurwadziwa, kuvimbiwa, kana kusazvidzora . Taura nachiremba wako nezvekutuma mwana wako kuchikoro kana kutamba neshamwari.

Pane nzira yekudzivirira VUR here?

Hapana nzira inozivikanwa yekudzivirira VUR - kwete nekudya, kuchinja mararamiro, kana mishonga. Zvisinei, mwana wakoPane zvinhu zvaunogona kuita kuti uchengetedze hutano hwakanaka hwese hweweti:

• Kupa mwana mvura yakakwana yekunwa .
• Kuchinja manapukeni nekukurumidza mushure mekunge mwana aita weti kana kuti aita tsvina.
• Kukurudzira mwana kuti aite weti nguva nenguva, kwete "kumubata."
• Tsvaga rubatsiro rwekurapa matambudziko akadai sekuvimbiwa, kusazvidzora, kana kusazvidzora nekukurumidza.

Zvakakoshawo kukurudzira kurovedza muviri uye kupa chikafu chakakwana uye chinovaka muviri kuti mwana wako agare ane hutano.

Ndinofanira kuona chiremba rini nezveVUR?

Kana muchifunga kuti mune UTI (inowanzova chiratidzo chekutanga cheVUR), shanyirai chiremba wevana venyu nekukasika. Zviratidzo zvakaita sekusazvidzora weti , fivha isina tsananguro, uye kurwadziwa pakuita weti zvinogonawo kuratidza VUR. Kana chiremba wenyu achifungidzira kuti mune VUR, achakutumirai kuna chiremba.

Mibvunzo ipi yaunofanira kubvunza chiremba?

Taura nachiremba wemwana wako kuti uwane mhinduro dzemibvunzo yako yese nezveVUR. Heano mimwe mibvunzo yaungabvunza:

• Ko chirwere chekutanga chemwana wangu chichapora here kana asina kurapwa?
• Mwana wangu anewo matambudziko eitsvo here?
• Ndoona nyanzvi here?
• Munobata sei chirwere chemwana wangu cheVUR?
• Ndezvipi zvingaitika kana munhu asingarapwe chirwere cheVUR?
• Ndingaitei kumba kuti ndibatsire mwana wangu kuti ave nani?
• Dambudziko iri richakonzera kurwadziwa kwemwana wangu here?
• Ndingaziva sei kana VUR iri kukanganisa dzimwe nhengo kana mashandiro emuviri?
• Ungadzivirira sei chirwere chemudumbu?
• Vamwe vana vangu vanofanira kuongororwa VUR here?

Pakupedzisira, zvekurangarira (Mharidzo Yekuenda Kumba)

VUR haiwanzova inorwadza kana kuti inoisa upenyu panjodzi. Inogona kugadziriswa, uye kurapwa kunowanzobudirira. Kunyange zvazvo pasina nzira yekudzivirira, unogona kubatsira mwana wako kuti agare aine mvura yakakwana mumuviri, kuita maekisesaizi, uye kudya chikafu chinovaka muviri kuti arambe aine hutano hwakanaka. Vimba nehunyanzvi hwachiremba wako. Vanogona kukubatsira kuongorora nekurapa VUR yemwana wako. Usazeza kutaura navo nezvemibvunzo yako nezvinokunetsa. Iva pachena uye wakatendeseka nezvezviratidzo zvemwana wako, kunyangwe zvakaoma kutaura nezvazvo. Kuziva kwako uye kutevedzera zano rachiremba wako ndiyo nzira yakanakisisa yekubatsira mwana wako kuti ave nani.

` Vesicoureteral reflux, VUR, hutachiona hwemunzira yeweti, chirwere chemunzira yeweti yevana, hutachiona hwemunzira yeweti, UTI, hutachiona hweitsvo, hutano hwemwana